The importance of the Nutritionist in promoting the health of individuals with insulin resistance

Authors

DOI:

https://doi.org/10.33448/rsd-v12i11.43814

Keywords:

Nutritionists; Insulin resistance; Diet, food, and nutrition; Health promotion.

Abstract

Insulin resistance leads to a greater need for circulating insulin to carry out its functions and effects, requiring special attention from healthcare professionals. This work sought to contribute to reflections on nutritional and non-pharmacological care for insulin resistance, emphasizing the role of the professional nutritionist in promoting the health of individuals with insulin resistance. This is a literature review, with research in databases such as Virtual Health Library and PubMed, analyzing sources from the last 5 years, complemented by official studies from the Ministry of Health, the Federal Council of Nutritionists and the Brazilian Association for the Study of Obesity and Metabolic Syndrome. The role of healthy lifestyle habits has been observed, as effective non-pharmacological treatments for insulin resistance, with emphasis on regular physical activity and exercise, reducing body weight, behavioral therapy, good diet and nutrition. The professional nutritionist plays a fundamentally important role in encouraging, establishing and strengthening these habits. Finally, the need and importance of implementing and strengthening interdisciplinary actions aimed at primary care and health promotion actions are highlighted in order to minimize complications related to insulin resistance.

Author Biographies

Camilla Brand de Mattos Barretto, Universidade Anhembi Morumbi

Administradora de Empresas pela Escola Superior de Propaganda e Marketing (ESPM), Mestre em Política Econômica Internacional pela University of Warwick (Reino Unido). Graduanda em Nutrição pela Universidade Anhembi Morumbi (UAM) - Campus Vila Olímpia.

Raphael Silva Lopes dos Santos, Universidade Anhembi Morumbi

Turismólogo pela Universidade do Sul de Santa Catarina (Unisul), MBA em Marketing pela Universidade Nove de Julho (Uninove). Graduando em Nutrição pela Universidade Anhembi Morumbi (UAM) - Campus Vila Olímpia.

Narcisio Rios Oliveira, Universidade Anhembi Morumbi, Associação Paulista de Nutrição

Nutricionista (CRN-3 52558), Mestre em Promoção da Saúde e com especialização em Docência Universitária pelo Centro Universitário Adventista de São Paulo (UNASP), pós graduado em Nutrição Clínica e Esportiva pela Universidade Cândido Mendes (UCAM), pós graduado em Acessibilidade, Diversidade e Inclusão pela Faculdade UNISE (UNISE) e MBA em Gestão Estratégica de Pessoas pela Universidade Anhembi Morumbi (UAM). Diretor na Associação Paulista de Nutrição (APAN), Conselheiro no Conselho Municipal de Segurança Alimentar e Nutricional de São Paulo (COMUSAN) e Preceptor de Nutrição na Universidade Anhembi Morumbi Campus Vila Olímpia.

References

ABESO. (2022). Posicionamento sobre o tratamento nutricional do sobrepeso e da obesidade. São Paulo: Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica (ABESO). https://abeso.org.br/wp-content/uploads/2022/11/posicionamento_2022-alterado-nov-22-1.pdf.

Banaszak, M., Górna, I. & Przyslawski, J. (2022). Non-Pharmacological Treatments for Insulin Resistance: Effective Intervention of Plant-Based Diets - A Critical Review. Nutrients, 14 (7), 1400-1413. https://www.mdpi.com/2072-6643/14/7/1400.

Beak, J. H., Kim, H., Kim, K. Y. & Jung, J. (2018). Insulin Resistance and the Risk of Diabetes and Dysglycemia in Korean General Adult Population. Diabetes & Metabolism Journal, 42 (4), 296-307. https://doi.org/10.4093/dmj.2017.0106.

Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. (2014). Guia alimentar para a população brasileira. 2. ed., 1. reimpr. Brasília: Ministério da Saúde. https://www.gov.br/saude/pt-br/assuntos/saude-brasil/publicacoes-para-promocao-a-saude/guia_alimentar_populacao_brasileira_2ed.pdf.

Brasil. Ministério da Saúde. Coordenação de Gestão de Protocolos Clínicos e Diretrizes Terapêuticas. (2020). Relatório de recomendação - Protocolos Clínicos e Diretrizes Terapêuticas: Sobrepeso e Obesidade em Adultos. Brasília: Ministério da Saúde. https://www.cfn.org.br/wp-content/uploads/2020/11/20201113_Relatorio_PCDT_567_Sobrepeso_e_Obesidade_em_adultos.pdf.

Brasil. Presidência da República. Casa Civil. Subchefia para Assuntos Jurídicos. (1991). Lei Nº 8.234, de 17 de setembro de 1991. Brasília: Presidência da República. http://www.planalto.gov.br/ccivil_03/leis/1989_1994/L8234.htm#art7.

CFN. (2015). O papel do nutricionista na atenção primária à saúde. Brasília: Conselho Federal de Nutricionistas (CFN). https://www.cfn.org.br/wp-content/uploads/2015/11/livreto-atencao_primaria_a_saude-2015.pdf.

CFN. (2018). Resolução CFN Nº 600, de 25 de fevereiro de 2018. Brasília: Conselho Federal de Nutricionistas (CFN). http://sisnormas.cfn.org.br:8081/viewPage.html?id=600.

Chen, Z., Zuurmond, M., Schaft, N. V. D., Nano, J., Wijnhoven, H. A. H., Ikram, M. A., Franco, O. H., Voortman, T. (2018). Plant versus animal based diets and insulin resistance, prediabetes and type 2 diabetes: the Rotterdam Study. European Journal of Epidemiology, 33 (9), 883-898. https://link.springer.com/article/10.1007/s10654-018-0414-8.

Crosby, L., Rembert, E., Levin, S., Green, A., Ali, Z., Jardine, M., Nguyen, M., Elliott, P., Goldstein, D., Freeman, A., Bradshaw, M., Holtz, D. N., Holubkov, R., Bernard, N. D. & Kahleova, H. (2022). Changes in Food and Nutrient Intake and Diet Quality on a Low-Fat Vegan Diet Are Associated with Changes in Body Weight, Body Composition, and Insulin Sensitivity in Overweight Adults: A Randomized Clinical Trial. Journal of the Academy of Nutrition and Dietetics, 122(10), 1922-1939. https://doi.org/10.1016/j.jand.2022.04.008.

Dubey, P., Thakur, V. & Chattopadhyay, M. (2020). Role of Minerals and Trace Elements in Diabetes and Insulin Resistance. Nutrients, 12 (6), 1864-1881. https://www.mdpi.com/2072-6643/12/6/1864.

Fahed, M., Jaoudeh, M. G. A., Merhi, S., Mosleh, J. M. B., Ghadieh, R., Hayek, S. A. & Fares, J. E. E. H. (2020). Evaluation of risk factors for insulin resistance: a cross sectional study among employees at a private university in Lebanon. BMC Endocrine Disorders, 20, 85-99. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7288486/.

Golabek, K. D. & Regulska-llow, B. (2019). Dietary support in insulin resistance: An overview of current scientific reports. Advances in Clinical and Experimental Medicine, 28 (11), 1577-1585. https://advances.umw.edu.pl/pdf/2019/28/11/1577.pdf.

Gomes, J. G. F., Magalhães, C. F. C. B., Nascimento, Y. G., Andrade, W. T. T., Silva, A. H. B. & Oliveira, G. A. L. (2020). Exercício físico e redução da resistência à insulina em indivíduos portadores de Diabetes Mellitus tipo 2: uma revisão bibliográfica. Research, Society and Development, 9 (7), e463974375. http://dx.doi.org/10.33448/rsd-v9i7.4375.

Jardine, M. A., Kahleova, H., Levin, S. M., Ali, Z., Trapp, C. B. & Bernard, N. D. (2021). Perspective: Plant-Based Eating Pattern for Type 2 Diabetes Prevention and Treatment: Efficacy, Mechanisms, and Practical Considerations. Advances in Nutrition, 12 (6), 2045-2055. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8634508/pdf/nmab063.pdf.

Kolb, H., Stumvoll, M., Kramer, W., Kempf, K. & Martin, S. (2018). Insulin translates unfavourable lifestyle into obesity. BMC Medicine, 16, 232-242. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292073/pdf/12916_2018_Article_1225.pdf.

Long, Y., Ye, H., Yang, J., Tao, X., Xie, H., Zhang, J., Zhong, Y. & Wang, M. (2023). Effects of a vegetarian diet combined with aerobic exercise on glycemic control, insulin resistance, and body composition: a systematic review and meta-analysis. Eating and Weight Disorders, 28(1), 9-26. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9931794/pdf/40519_2023_Article_1536.pdf.

Lozano, E. S. (2022). Resistencia a Insulina: Revisión de literatura. Revista Médica Hondureña, 90 (1), 63-70. https://camjol.info/index.php/RMH/article/view/13824/17082.

Papakonstantinou, E., Oikonomou, C., Nychas, G. & Dimitriadis, G. D. (2022). Effects of Diet, Lifestyle, Chrononutrition and Alternative Dietary Interventions on Postprandial Glycemia and Insulin Resistance. Nutrients, 14 (4), 823-901. https://www.mdpi.com/2072-6643/14/4/823.

Rother, E. T. (2007). Revisão Sistemática X Revisão Narrativa. Acta Paulista de Enfermagem, 20 (2), 1-2. https://doi.org/10.1590/S0103-21002007000200001.

Salihefendic, D. (2023). Eating and Lifestyle Habits in Underweight Patients with Insulin Resistance. Materia Sociomedica, 35(1), 18-22. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10122527/.

SBD. Diretrizes da Sociedade Brasileira de Diabetes: Classificação do Diabetes: Edição 2023. São Paulo: Sociedade Brasileira de Diabetes (SBD). https://diretriz.diabetes.org.br/classificacao-do-diabetes/.

Souza, M. P. G., Ramos, L. T. T., Teixeira, M. Y. P., Leite, N. B. M., Montenegro Júnior, R. M. & Lopes, S. C. (2021). Associação da resistência à insulina em pacientes portadores de diabetes mellitus tipo 1 com o estado nutricional, perfil glicêmico e lipídico. Revista de Atenção à Saúde, 19 (70), 7-16. https://seer.uscs.edu.br/index.php/revista_ciencias_saude/article/view/7706/3584.

Tilles-Tirkkonen, T., Aittola, K., Mannikko, R., Absetz, P., Kolehmainen, M., Schwab, U., Lindstrom, J., Lakka, T., Pihlajamaki, J. & Karhunen, L. (2020). Eating Competence Is Associated with Lower Prevalence of Obesity and Better Insulin Sensitivity in Finnish Adults with Increased Risk for Type 2 Diabetes: The StopDia Study. Nutrients, 12 (1), 104-118. https://www.mdpi.com/2072-6643/12/1/104.

Tucker, L. A. (2023). Macronutrient Intake and Insulin Resistance in 5665 Randomly Selected, Non-Diabetic U.S. Adults. Nutrients, 14 (5), 918-937. https://www.mdpi.com/2072-6643/14/5/918.

Zhang, H., Chen, D., Zou, P., Shao, J., Wu, J., Cui, N., Lin, S., Tang, L., Zheng, Q., Wang, X. & Ye, Z. (2023). The integrated common-sense model of illness self-regulation: predicting healthy eating, exercise behaviors, and health among individuals at risk of metabolic syndrome. BMC Public Health, 23(1486), 1-13. https://doi.org/10.1186/s12889-023-16403-2.

Downloads

Published

02/11/2023

How to Cite

BARRETTO, C. B. de M. .; SANTOS, R. S. L. dos .; OLIVEIRA, N. R. . The importance of the Nutritionist in promoting the health of individuals with insulin resistance. Research, Society and Development, [S. l.], v. 12, n. 11, p. e102121143814, 2023. DOI: 10.33448/rsd-v12i11.43814. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/43814. Acesso em: 29 nov. 2024.

Issue

Vol. 12 No. 11

Section

Review Article

License

Copyright (c) 2023 Camilla Brand de Mattos Barretto; Raphael Silva Lopes dos Santos; Narcisio Rios Oliveira

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish with this journal agree to the following terms:

1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.